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Rehabilitation Practice and Science

Translated Title

電刺激於脊髓損傷患者排尿功能障礙之應用

Abstract

Bladder dysfunction makes huge impact on the patients with spinal cord injury. It not only causes inconvenience in daily living, but also leads to many complications, including life-threatening renal failure. Traditional methods had been brought into greater use for the management of bladder dysfunction, such as indwelling catheter, clean intermittent catheterization, external condom catheter, bladder augmentation and so on. Electric stimulation is an effective treatment for both bladder voiding and storage dysfunction and it can be used in many different location. The electrodes can be placed on spinal cord, nerve root, peripheral nerve, bladder and skin by surgical implantation, needle insertion and adhesive pads. Sacral anterior root stimulation is the most efficacious technique so far and patients can void well with stimulation. However, detrusor-sphincter dyssynergia interferes with bladder emptying. Although sacral posterior rhizotomy can reduce the resistance, this problem can not be solved completely. In addition, sacral nerve modulation, dorsal penile nerve stimulation and transcutaneous electric nerve stimulation are able to relieve detrusor hyperactivity. Electric stimulation is a good choice for the patients with spinal cord injury to overcome bladder dysfunction. Nevertheless, it is not popular in Taiwan. We should put more emphasis on this field in the future.

Language

Traditional Chinese

First Page

1

Last Page

17

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